{"id":81386,"date":"2020-09-02T10:17:52","date_gmt":"2020-09-02T07:17:52","guid":{"rendered":"https:\/\/sanatate.md\/?p=81386"},"modified":"2020-09-14T11:12:55","modified_gmt":"2020-09-14T08:12:55","slug":"sarcina-dupa-40-cat-de-optimiste-sunt-prognozele-specialistilor","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/sarcina-dupa-40-cat-de-optimiste-sunt-prognozele-specialistilor\/","title":{"rendered":"Sarcina dup\u0103 40. C\u00e2t de optimiste sunt prognozele speciali\u0219tilor?"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div id=\"tdi_1\" class=\"tdc-row\"><div class=\"vc_row tdi_2  wpb_row td-pb-row\" >\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_2,\r\n                .tdi_2 .tdc-columns{\r\n                    min-height: 0;\r\n                }.tdi_2,\r\n\t\t\t\t.tdi_2 .tdc-columns{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_2 .tdc-columns{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_2:before,\r\n\t\t\t\t.tdi_2:after{\r\n\t\t\t\t    display: table;\r\n\t\t\t\t}\n<\/style><div class=\"vc_column tdi_4  wpb_column vc_column_container tdc-column td-pb-span12\">\n<style scoped>\n\/* custom css - generated by TagDiv Composer *\/\n\n\/* custom css - generated by TagDiv Composer *\/\n.tdi_4{\r\n                    vertical-align: baseline;\r\n                }.tdi_4 > .wpb_wrapper,\r\n\t\t\t\t.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    display: block;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .tdc-elements{\r\n\t\t\t\t    width: 100%;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper > .vc_row_inner{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t}.tdi_4 > .wpb_wrapper{\r\n\t\t\t\t    width: auto;\r\n\t\t\t\t    height: auto;\r\n\t\t\t\t}\n<\/style><div class=\"wpb_wrapper\" >[vc_column_text]<\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2020\/09\/medpark-2.jpg\" alt=\"medpark\" width=\"1200\" height=\"800\" \/><\/h3>\n<h3>A r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 dup\u0103 40 de ani poate fi o adev\u0103rat\u0103 provocare. Tot mai multe femei \u00een ultimul timp am\u00e2n\u0103 venirea pe lume a unui copil.<\/h3>\n<p>Motivele sunt diverse: financiare, sociale, rela\u021bionale, psihologice \u0219i nu doar. Se spune din ce \u00een ce mai des c\u0103 &#8220;40&#8221; este continuarea v\u00e2rstei de &#8220;30&#8221;, f\u0103r\u0103 prea mari schimb\u0103ri. Iat\u0103 de ce informa\u021biile oferite de c\u0103tre Centrul pentru Prevenirea \u0219i Controlul Bolilor vorbesc despre o adev\u0103rat\u0103 mod\u0103 printre femeile din SUA, care \u00ee\u0219i programeze sarcinile \u00eentre 40 \u0219i 44 de ani. Medicii recomand\u0103, totu\u0219i, ca optimismul acestor femei s\u0103 fie moderat. Despre \u0219anse \u0219i prognoze privind conceperea copiilor dup\u0103 40 de ani, vorbim cu medicul obstetrician-ginecolog, <strong>Natalia Raiu<\/strong>.<\/p>\n<h3>Planificarea unei sarcini t\u00e2rzii presupune asumarea unor riscuri<\/h3>\n<p>Inciden\u021ba sarcinii spontane la femeile cu v\u00e2rsta de dup\u0103 40 de ani este mult mai mic\u0103 \u00een compara\u021bie cu femeile de 20 \u2013 30 de ani, \u00eens\u0103 cu ajutorul tehnologiilor de reproducere asistat\u0103 acest lucru a devenit posibil \u0219i la o v\u00e2rst\u0103 mai \u00eenaintat\u0103. Se cunosc cazuri enciclopedice de sarcin\u0103 \u0219i la o v\u00e2rst\u0103 de peste 50 de ani. \u00cens\u0103, femeile care planific\u0103 o sarcin\u0103 mai t\u00e2rzie, trebuie s\u0103 ia \u00een considera\u021bie riscul de complica\u021bii: sarcina ectopic\u0103, avortul spontan, anomalii fetale cromozomiale, diabetul gesta\u021bional, preeclampsia, na\u0219terea prematur\u0103, restric\u021bia de cre\u0219tere intrauterin\u0103 a f\u0103tului, decesul antenatal al f\u0103tului. Sarcina poate decurge normal, dar este recomandat examenul medical riguros \u015fi monitorizarea permanent\u0103. Beneficiul sarcinii la 40 de ani este faptul c\u0103 aceste cupluri sunt emo\u021bional mai mature \u0219i financiar mai stabile dec\u00e2t cuplurile mai tinere.<\/p>\n<h3>Planificarea unei sarcini dup\u0103 40 implic\u0103 o serie de teste suplimentare<\/h3>\n<p>Principala problem\u0103 a sarcinii la v\u00e2rste \u00eenaintate este reprezentat\u0103 de procentul mare de ovocite, peste 80%, afectate de muta\u0163ii genetice. Adic\u0103, f\u0103tul are 80% \u015fanse s\u0103 prezinte probleme de dezvoltare, malforma\u0163ii genetice \u015fi tulbur\u0103ri neurologice grave, incompatibile cu via\u021ba. Totodat\u0103, persist\u0103 \u0219i riscul avortului spontan. Studiile bazate pe dovezi raporteaz\u0103 o rat\u0103 de 40% a avorturilor spontane \u00een termen mic la femeile cu v\u00e2rsta de 35-44 ani \u0219i o rat\u0103 de 60-65% la femeile care au v\u00e2rsta mai mare de 44 de ani.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sanatate.md\/wp-content\/uploads\/2020\/09\/medpark-1.jpg\" alt=\"medpark\" width=\"1200\" height=\"800\" \/><\/p>\n<p>Femeile care planific\u0103 o sarcin\u0103 dup\u0103 v\u00e2rsta de 40 de ani, chiar \u0219i cu ajutorul reproducerii asistate, sunt \u00eencurajate s\u0103-\u0219i optimizeze starea lor de s\u0103n\u0103tate. Este indicat\u0103 mic\u0219orarea indicelui de mas\u0103 corporal\u0103, evitarea fumatului \u0219i a b\u0103uturilor alcoolice, normalizarea nivelului de glicemie \u0219i a hormonilor tiroidieni. Este binevenit un consult preconcep\u021bional pentru a depista anumi\u021bi factori de risc sau st\u0103ri patologice, care ar putea interfera cu cursul normal al sarcinii, s\u0103 administreze acid folic.<\/p>\n<p>O sarcin\u0103 la 40 de ani presupune \u0219i o serie de teste suplimentare. Cu scopul minimaliz\u0103rii \u0219i evit\u0103rii complica\u021biilor enumerate mai sus sunt indicate mai multe vizite la medicul obstetrician, sunt recomandate testele screening \u0219i non invazive de diagnostic al anomaliilor genetice, examene ecografice morfologice pentru depistarea anomaliilor sistemului cardiovascular \u0219i sistemului nervos fetal.<\/p>\n<h3>Anomaliile genetice pot fi depistate utiliz\u00e2nd teste neinvazive de nou\u0103 genera\u021bie, care presupun recoltarea s\u00e2ngelui matern<\/h3>\n<p>Deosebit de importante sunt \u0219i metodele moderne de depistare a anomaliilor genetice \u0219i cromozomiale, prioritate av\u00e2nd metodele ecografice de diagnostic, \u00eempreun\u0103 cu testele biochimice. Primul examen care indic\u0103 o probabilitate a dezvolt\u0103rii unei anomalii genetice este ecografia \u00een primul trimestru de sarcin\u0103, realizat\u0103 combinat cu Testul Dublu. Examinarea este efectuat\u0103 \u00eentre 11 \u0219i 14 s\u0103pt\u0103m\u00e2ni de sarcin\u0103.<\/p>\n<p>Testele non invazive de nou\u0103 genera\u021bie cum sunt NIFTY test, IONA test, care presupun genotiparea fetal\u0103, mai exact determinarea ADN-lui fetal din s\u00e2ngele matern, sunt recomandate atunci c\u00e2nd Testul Dublu indic\u0103 o probabilitate crescut\u0103 de anomalii fetale, \u00een situa\u021bia \u00een care viitoarea m\u0103mic\u0103 are v\u00e2rsta peste 35 de ani sau \u00een cazurile \u00een care gravida are \u00een antecedente un copil cu sindrom Down sau alte anomalii cromozomiale. Aceste teste indic\u0103 probabilitatea existen\u0163ei sindromului Down, Edwards, Patau sau Turner, cu o acurate\u0163e de p\u00e2n\u0103 99%.<\/p>\n<h3>Teste costisitoare, dar cu beneficii uria\u0219e<\/h3>\n<p>Sunt teste costisitoare, dar beneficiile sunt uria\u0219e. Fiind neinvazive \u015fi realiz\u00e2ndu-se prin recoltare de s\u00e2nge matern, nu exist\u0103 riscuri pentru sarcin\u0103. Deoarece testarea presupune o simpl\u0103 recoltare de s\u00e2nge, procesul este foarte sigur pentru mam\u0103 \u0219i f\u0103t. Proba este trimis\u0103 c\u0103tre laborator unde un medic specializat va verifica ADN-ul liber fetal din s\u00e2ngele matern pentru a depista semnele unor eventuale anomalii fetale. Dup\u0103 ob\u021binerea rezultatelor, medicul va combina analizele de s\u00e2nge cu rezultatele de la ecografia morfologic\u0103 de trimestrul I pentru a stabili dac\u0103 sunt necesare teste suplimentare.<\/p>\n<p>\u00cen cazul \u00een care riscul este mare, medicul poate recomanda amniocenteza pentru a confirma diagnosticul sau pentru a c\u0103uta alte malforma\u021bii, care nu pot fi depistate prin aceste metode. Nu se vor recomanda teste invazive sau non invazive de diagnostic numai \u00een cazurile \u00een care s-a f\u0103cut fertilizare in vitro \u015fi teste suplimentare de screening genetic de preimplantare (PGS), care verific\u0103 toate cele 23 de perechi de cromozomi \u015fi poate identifica embrionii viabili, cuplul fiind abil s\u0103 ia hot\u0103r\u00e2rea de a-i p\u0103stra sau nu.<\/p>\n<h3>\u0218ansele de concepere<\/h3>\n<p>V\u00e2rsta avansat\u0103 este legat\u0103 \u0219i de cre\u0219terea inciden\u021bei sarcinii multiple, ceea ce se poate explica prin utilizarea mai frecvent\u0103 a terapiilor de reproducere asistat\u0103 la aceste femei. Este de men\u021bionat faptul c\u0103 rezultatele perinatale ale sarcinii multiple la femeile cu v\u00e2rsta de 40 de ani sunt mai bune dec\u00e2t rezultatele sarcinii multiple la femeile tinere de 20 de ani, \u00een compara\u021bie cu sarcina unic\u0103, c\u00e2nd femeile tinere se descurc\u0103 mai bine la acest capitol. \u00cen schimb, travaliul la femeile cu v\u00e2rsta de 40 de ani \u0219i mai mult se complic\u0103 mai frecvent cu distocie \u0219i anomalii ale contrac\u021biilor uterine, ceea ce frecvent determin\u0103 finalizarea na\u0219terii prin opera\u021bie cezarian\u0103.<\/p>\n<p>Din cauza riscului crescut de mortalitate antenatal\u0103 a f\u0103tului la gravidele din aceast\u0103 categorie de v\u00e2rst\u0103, tot mai mul\u021bi exper\u021bi din domeniu recomand\u0103 inducerea travaliului la 39 s\u0103pt\u0103m\u00e2ni de gesta\u021bie \u2013 decizie care va fi discutat\u0103 \u00een prealabil cu acel cuplul, explic\u00e2nd avantajele, riscurile \u0219i complica\u021biile posibile, neap\u0103rat oferind alternative. V\u00e2rsta la care o femeie decide s\u0103 devin\u0103 mam\u0103 este un detaliu pe care nimeni nu are dreptul s\u0103 \u00eel comenteze, cel pu\u021bin \u00een teorie. \u0218i totu\u0219i, de ani buni \u00eencoace, se comenteaz\u0103 mereu la aceast\u0103 tem\u0103. Ce conteaz\u0103 mai mult, v\u00e2rsta sau experien\u021ba? Desigur, aceasta este doar varianta simplificat\u0103 a \u00eentreb\u0103rii pentru c\u0103, dincolo de v\u00e2rst\u0103 \u0219i de experien\u021ba \u00een sine, intervin o sumedenie de factori care \u00eengreuneaz\u0103 adesea decizia de a \u021bine sau nu cont de v\u00e2rst\u0103 atunci c\u00e2nd \u00ee\u021bi dore\u0219ti s\u0103 devii mam\u0103.<\/p>\n<p>Indiferent de tendin\u021be, oric\u00e2nd decide femeia c\u0103 vrea s\u0103 devin\u0103 mam\u0103, este a\u0219teptat\u0103 la Maternitatea Medpark. Aici beneficiaz\u0103 de o abordarea individual\u0103 \u00eencep\u00e2nd de la planificarea sarcinii \u0219i p\u00e2n\u0103 la na\u0219terea \u00een siguran\u021b\u0103 a unui bebelu\u0219 s\u0103n\u0103tos. Pentru detalii acceseaz\u0103 <a href=\"https:\/\/medpark.md\/services\/maternitatea-medpark\/\" target=\"_blank\" rel=\"noopener\"><strong>Maternitatea Medpark<\/strong><\/a>.[\/vc_column_text]<div class=\"wpb_wrapper td_block_empty_space td_block_wrap vc_empty_space tdi_6 \"  style=\"height: 15px\"><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_column_text] A r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 dup\u0103 40 de ani poate fi o adev\u0103rat\u0103 provocare. Tot mai multe femei \u00een ultimul timp am\u00e2n\u0103 venirea pe lume a unui copil. Motivele sunt diverse: financiare, sociale, rela\u021bionale, psihologice \u0219i nu doar. Se spune din ce \u00een ce mai des c\u0103 \"40\" este continuarea v\u00e2rstei de \"30\", f\u0103r\u0103 prea mari [...]","protected":false},"author":591,"featured_media":81391,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[1293,1287],"tags":[5886,5586,5885,5887],"class_list":{"0":"post-81386","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articole","8":"category-mama-si-copil","9":"tag-conceperea-copiilor-dupa-40","10":"tag-medpark-ro","11":"tag-natalia-raiu","12":"tag-sarcina-dupa-40"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sarcina dup\u0103 40. 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